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Nursing practice changed dramatically in the mid-1960s as experiments across the country demonstrated the effectiveness of nurses' expanded diagnostic and decision-making authority. The result was a new breed of nurse, the nurse practitioner. In A New Order of Things, Freund takes readers through that evolution. Beginning with a demonstration project at the University of North Carolina, leading to the emergence of an innovative nurse practitioner training program, the siting of rural clinics with nurse practitioners as the primary providers of health services, a consortium of nurse practitioner training programs spanning the state, and ultimately to a movement: a new order of advanced nursing practice and primary care service delivery. A New Order of Things is unique in that it documents a history with contemporary relevance, a case study illustrating how a major innovation was strategically engineered toward adoption at the organizational, health system, and state levels. Using multiple sources of historical records and 36 hours of interviews with leaders of the N.C. nurse practitioner movement, Freund illustrates how change leaders formed alliances in a politically nuanced process, thought ahead and of the present moment simultaneously, were adept at recognizing subtle clues and nimble enough to take advantage of opportune moments. This story is N.C.'s story, but it is far more than that. It is a story for any health professional striving to make change in health services and move an innovative idea into widespread adoption.
Edward Thompson Breathitt Jr. served as governor of Kentucky from December 12, 1967. The Breathitt administration was notable for its close ties with the national administration of President Lyndon B. Johnson and with Johnson's Great Society programs. Governor Breathitt led successful campaigns for economic and industrial development, civil rights legislation, increased support for education, and expansion and improvement of the state highway and park systems. His most significant defeat was the rejection in 1966 of a new state constitution. His administration won several national awards, including: a Lincoln Key Award (1966) for leadership in the passage of civil rights legislation; Society of Industrial Investors' award (1964) for the best industrial development program; the Midwest Travel Writers Association award (1965) for the best travel promotion program; and the U.S. Department of Interior Distinguished Service Award (1967) for contributions in the field of conservation. Governor Breathitt's papers are of historical importance for the light they shed on one governor's attempts to mesh state and federal actions and to fit federal programming to the needs of his state.
First multi-year cumulation covers six years: 1965-70.
Includes subject section, name section, and 1968-1970, technical reports.
North Carolina has been a leader in the South and the nation since 1775, when it became "First in Freedom" by calling for its independence from British rule. Throughout its history, the state has had a reputation as a progressive force. This book offers both an assessment and an examination of the realities of the state's leadership. Analyzing a wide range of political actors and organizations, which includes the state legislature, the governor and executive branch, the judiciary, political parties, interest groups, and the media, Fleer illuminates North Carolina's rich political history, its evolving constitutional order, and its changing political culture. Although revealing a pattern of elitist paternalism in the state's political history, the book illustrates a parallel pattern of popular participation and control. Major forces of change are increasingly defining the state. These transitional factors include a significant biracial electorate, a stratified society, a diverse electorate, increasingly varied and mobilized political interest groups, a competitive political party system, and a more representative political leadership. New challenges to the state's future development are its aging population, the preparedness of its work force, the globalization of its economy, the protec-tion of its natural resources, and the education of its children for the next century. Each new political debate, policy choice, and election reminds North Carolinians of their fundamental challenge: establishing a government by enlightened and effective popular consent.
Includes entries for maps and atlases.
Cases argued and determined in the Supreme Court of North Carolina.